Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Geriatric Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-3344
Entity
Organization
Contact information
Practice address
535 INDEPENDENCE PKWY, STE 500, CHESAPEAKE, VA 23320-5176
(757) 395-6636
Mailing address
535 INDEPENDENCE PKWY, STE 500, CHESAPEAKE, VA 23320-5176
(757) 395-6636
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
05/02/2011
Last updated
11/28/2011
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